CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference:
Ch. 1 — Development — Applying Developmental Theory
Stem:
A nurse is providing anticipatory guidance to the parents of a 3-
year-old child during a well-child visit. The parents express
concern that their child frequently says "no," insists on choosing
his own clothes, and has begun having tantrums when his
,routine is disrupted. Which nursing response best applies a
developmental framework?
Options:
A. "This is a sign of behavioral problems. Let's discuss a referral
to a child psychologist."
B. "This is typical behavior for a toddler. He is developing
autonomy and testing limits, which is expected for his age."
C. "You should establish stricter discipline immediately to
prevent these behaviors from worsening."
D. "He may be experiencing sensory processing issues. We
should complete a developmental screening."
Correct Answer:
B
Rationales:
Correct (B): According to Erikson's theory, toddlers (ages 1-3)
are in the stage of Autonomy vs. Shame/Doubt. The described
behaviors (negativism, ritualism, asserting independence) are
classic manifestations of the toddler's developmental task of
establishing autonomy. The nurse's response normalizes the
behavior within a developmental context.
Incorrect (A): This pathologizes normal developmental behavior
without assessment for true behavioral disorders, which is not
supportive or evidence-based for this scenario.
Incorrect (C): While consistent routines are important, overly
strict discipline can hinder the development of autonomy and
lead to shame/doubt.
,Incorrect (D): The described behaviors are not specific to
sensory processing issues. Jumping to this conclusion without a
comprehensive assessment is not indicated.
Teaching Point:
Toddler negativism and ritualism are expected developmental
behaviors reflecting Erikson's stage of Autonomy vs.
Shame/Doubt.
Citation:
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1.
Question 2
Reference:
Ch. 1 — Development — Psychosocial Development
Stem:
A school nurse is planning a series of health promotion
workshops for a group of adolescents (ages 14-16). When
designing the content, which developmental task identified by
Erikson should the nurse prioritize to make the workshops most
engaging and relevant?
Options:
A. Initiative vs. Guilt
B. Industry vs. Inferiority
C. Identity vs. Role Confusion
D. Intimacy vs. Isolation
, Correct Answer:
C
Rationales:
Correct (C): Erikson's stage for adolescence (12-18 years) is
Identity vs. Role Confusion. Adolescents are primarily focused
on developing a coherent sense of self. Content that explores
personal values, future goals, and self-expression will be most
relevant.
Incorrect (A): This is the preschool stage (3-6 years), focused on
purpose and initiating activities.
Incorrect (B): This is the school-age stage (6-12 years), focused
on competence and mastery of skills.
Incorrect (D): This is the young adulthood stage (20s-40s),
focused on forming deep, committed relationships.
Teaching Point:
The central psychosocial task of adolescence (Erikson) is
forming a stable identity, not intimacy.
Citation:
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1.
Question 3
Reference:
Ch. 1 — Development — Cognitive Development
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference:
Ch. 1 — Development — Applying Developmental Theory
Stem:
A nurse is providing anticipatory guidance to the parents of a 3-
year-old child during a well-child visit. The parents express
concern that their child frequently says "no," insists on choosing
his own clothes, and has begun having tantrums when his
,routine is disrupted. Which nursing response best applies a
developmental framework?
Options:
A. "This is a sign of behavioral problems. Let's discuss a referral
to a child psychologist."
B. "This is typical behavior for a toddler. He is developing
autonomy and testing limits, which is expected for his age."
C. "You should establish stricter discipline immediately to
prevent these behaviors from worsening."
D. "He may be experiencing sensory processing issues. We
should complete a developmental screening."
Correct Answer:
B
Rationales:
Correct (B): According to Erikson's theory, toddlers (ages 1-3)
are in the stage of Autonomy vs. Shame/Doubt. The described
behaviors (negativism, ritualism, asserting independence) are
classic manifestations of the toddler's developmental task of
establishing autonomy. The nurse's response normalizes the
behavior within a developmental context.
Incorrect (A): This pathologizes normal developmental behavior
without assessment for true behavioral disorders, which is not
supportive or evidence-based for this scenario.
Incorrect (C): While consistent routines are important, overly
strict discipline can hinder the development of autonomy and
lead to shame/doubt.
,Incorrect (D): The described behaviors are not specific to
sensory processing issues. Jumping to this conclusion without a
comprehensive assessment is not indicated.
Teaching Point:
Toddler negativism and ritualism are expected developmental
behaviors reflecting Erikson's stage of Autonomy vs.
Shame/Doubt.
Citation:
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1.
Question 2
Reference:
Ch. 1 — Development — Psychosocial Development
Stem:
A school nurse is planning a series of health promotion
workshops for a group of adolescents (ages 14-16). When
designing the content, which developmental task identified by
Erikson should the nurse prioritize to make the workshops most
engaging and relevant?
Options:
A. Initiative vs. Guilt
B. Industry vs. Inferiority
C. Identity vs. Role Confusion
D. Intimacy vs. Isolation
, Correct Answer:
C
Rationales:
Correct (C): Erikson's stage for adolescence (12-18 years) is
Identity vs. Role Confusion. Adolescents are primarily focused
on developing a coherent sense of self. Content that explores
personal values, future goals, and self-expression will be most
relevant.
Incorrect (A): This is the preschool stage (3-6 years), focused on
purpose and initiating activities.
Incorrect (B): This is the school-age stage (6-12 years), focused
on competence and mastery of skills.
Incorrect (D): This is the young adulthood stage (20s-40s),
focused on forming deep, committed relationships.
Teaching Point:
The central psychosocial task of adolescence (Erikson) is
forming a stable identity, not intimacy.
Citation:
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1.
Question 3
Reference:
Ch. 1 — Development — Cognitive Development
